Risk Adjustment Coding Specialist II Astrana Health, Inc.Risk Adjustment Coding Specialist IICA, California$70,000–$85,000 / yearPerform code abstraction and/or coding quality audits of medical records to ensure ICD-10- CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS Risk Adjustment guidelines. Maintain current knowledge of coding regulations, compliance guidelines, and updates to the ICD-10 and HCC codes, Stay informed about changes in Medicare, Medicaid, and private payer requirements.
HIM Coding Manager Auditing and Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union) University of Southern CaliforniaHIM Coding Manager Auditing and Education - HIM Financial - Full Time 8 Hour Days (Exempt) (Non-Union)Los Angeles, CaliforniaEnsure effective use of coding and electronic health record systems including: Cerner/PowerChart and Coding mPage Solventum/3M 360 Encompass (CAC/CRS) Solventum/3M HDM, HRM, and ARMS Soarian Financials and CHC Assurance PFS systems • Promote effective use of system tools to support coding accuracy, audit activities, and denial prevention. The Manager serves as a subject matter expert in coding regulations and provides leadership in the development and implementation of coding education, audit programs, facilitating educational webinars and seminars, planning and delivering effective presentations, and process improvement initiatives.
Service of Process Specialist Omni-Invictus dba ArrayService of Process SpecialistIrvine, CaliforniaThis position receives orders from Client Services, assigns them to process servers, monitors progress, and ensures accurate communication and documentation for both successful and unsuccessful serves. Successful completion results in a Proof of Service, while unsuccessful attempts require a Non-Service Affidavit and follow-up before billing.
Collector (facility/hospital) Ledgent Finance & AccountingCollector (facility/hospital)Corona, California$23 / hourJoin a fast-paced healthcare team where you'll tackle billing challenges and keep accounts moving! Great opportunity to grow your career and land a permanent role!
Dental Office Manager Empower Dental GroupDental Office ManagerRancho Cucamonga, CaliforniaAs we scale, we're looking for a creative, resourceful, and driven staff to help us share our story, strengthen our brand, and engage our growing network of patients and team members. Founded by Dr. Gyokchyan, Dr. Arkelakyan, and Dr. Khachatryan, Empower Dental brings together experience, innovation, and compassion to deliver exceptional, patient-centered care.
Insurance Specialist (Remote) - Mountain and Pacific Time Zones MeduitInsurance Specialist (Remote) - Mountain and Pacific Time ZonesCaliforniaRemoteboth in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for servicesâ¯. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments.
Sr. EAP Operations Associate (Remote) RulaSr. EAP Operations Associate (Remote)Los Angeles, CaliforniaRemoteDemonstrated expertise in revenue cycle management, with a focus on healthcare billing, payment posting, and/or credit management, including knowledge of credit management for insurance and governmental payers (Medicare or Medicaid). Proven ability to independently improve and optimize processes, leveraging tools such as Salesforce, AMD, payer portals (e.g., Availity), and Google Suite/Microsoft Office (including Excel/Google Sheets) to drive optimization.
Technical Support Hardware Specialist Silvus TechnologiesTechnical Support Hardware SpecialistLos Angeles, CaliforniaSilvus Technologies , a leading provider of advanced MANET and MIMO communications systems, is reshaping mesh network technology for mission-critical applications – on the ground, in the air and at sea. Its battle-proven StreamCaster family of MANET radios and proprietary MN-MIMO waveform provides the vital communications link for defense, law enforcement and public safety agencies around the world, and in the toughest operational environments.
Lead, Transplant Financial Coordinator - Liver Acquisition - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaLead, Transplant Financial Coordinator - Liver Acquisition - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CaliforniaObtain and document detailed patient insurance benefit information, limitations and exclusions to determine appropriateness for transplantation services and financial criteria of program, including, but not limited to, all aspects of the transplant process: transplant surgery, organ acquisition, follow-up clinic visits, admissions, cost of labs, diagnostic testing, co-payments of outpatient prescription drugs and travel/housing benefits. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
Transplant Financial Coordinator - Kidney Acquisition - Full Time 8 Hour Days (Non-Exempt) (Non-Union) University of Southern CaliforniaTransplant Financial Coordinator - Kidney Acquisition - Full Time 8 Hour Days (Non-Exempt) (Non-Union)Los Angeles, CaliforniaObtain and document detailed patient insurance benefit information, limitations and exclusions to determine appropriateness for transplantation services and financial criteria of program, including, but not limited to, all aspects of the transplant process: transplant surgery, organ acquisition, follow-up clinic visits, admissions, cost of labs, diagnostic testing, co-payments of outpatient prescription drugs and travel/housing benefits. When extending an offer of employment, the University of Southern California considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate’s work experience, education/training, key skills, internal peer equity, federal, state, and local laws, contractual stipulations, grant funding, as well as external market and organizational considerations.
Director of Clinical Systems, Analytics & Business Intelligence Children's InstituteDirector of Clinical Systems, Analytics & Business IntelligenceLos Angeles, California$117,693–$143,847 / yearThe Director serves as a cross functional leader, strategic partner and primary liaison between Behavioral Health, Community Supports, Information Technology, Quality Assurance, Compliance, Finance, Human Resources, Development, and Executive Leadership driving alignment with advancing organizational priorities, strategic objectives, and evolving healthcare delivery models through the effective use of technology, analytics, automation, artificial intelligence, and operational innovation. The Director, Clinical Systems, Analytics & Business Intelligence provides strategic leadership, oversight, and administration of clinical technology systems, enterprise reporting, business intelligence, data governance, and operational analytics supporting Children’s Institute’s Behavioral Health and Community Services (BHCS) programs.
Accounts Receivable Specialist JAMS, Inc.Accounts Receivable SpecialistIrvine, CaliforniaFull timeManages an assigned portfolio of client accounts using appropriate collection techniques to reduce delinquency—partners with case managers on client disputes, providing strategies and solutions to resolve issues efficiently and effectively. The Accounts Receivable Specialist partners with the case management team across multiple Resolution Centers to provide high-level service to clients and neutrals, while maintaining adherence to business policies and procedures.
Client Accounts Specialist 1 JAMS, Inc.Client Accounts Specialist 1Irvine, CaliforniaFull timeThe Client Accounts Specialist 1 partners with the case management team in multiple Resolution Centers to support clients and neutrals with high-level service, while maintaining adherence to business policies and procedures. This role requires critical thinking to resolve collection, cash application, and billing issues with professionalism, attention to detail, and a commitment to delivering excellent client service.
Emergency Medical Technician - Basic Premier Medical TransportationEmergency Medical Technician - BasicSan Bernardino, CaliforniaAdministers prescribed treatment at the site of an emergency, or in specially equipped vehicles, performing such activities as first aid, immobilization of injuries, application of splints, administration of oxygen, treatment of minor wounds or abrasions, or administration of basic life support procedures. Determines nature and extent of illness or injury, or magnitude of catastrophe, in order to establish the basic life support procedures needed to be followed, basing decisions on statements of persons involved, the examination of victim or victims, and knowledge of the emergency medical practice.
AR Follow Up Coord RadNet Los AngelesAR Follow Up CoordLos Angeles, California$20–$23 / hourFull timeWhen you join us as a AR Follow Up Coordinator , you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21 st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. One to two years’ prior accounts receivable experience in a medical billing environment preferred with at least general knowledge of the healthcare industry insurance/EOB/payment process.
Sr. Neurology Account Specialist (Anaheim, CA) (field based) EisaiSr. Neurology Account Specialist (Anaheim, CA) (field based)Anaheim, CAExperience working with U.S. healthcare industry (including delivery of care, market access and reimbursement landscape, and key stakeholders that influence decision-making within local markets and healthcare systems). Skills:Clinical Acumen (AD), Critical Thinking & Agility, Focus On Customers & Partners, Sales Ops & Data Analytics, Sells Effectively & Makes Impact, Territory/Account Management.
Diagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg) Elevance HealthDiagnosis Related Group Clinical Validation Auditor-Rn (Cdi, Ms-Drg, Ap-Drg And Apr-Drg)Costa Mesa, CA$86,560–$155,808 / yearPreferred Skills, Capabilities and Experiences: One or more of the following certifications are preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC) or Inpatient Coding Credential such as CCS or CIC. Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5 years of experience working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG; or any combination of education and experience, which would provide an equivalent background.
DRG Coding Auditor - Ms-Drg And Apr-Drg Elevance HealthDRG Coding Auditor - Ms-Drg And Apr-DrgCosta Mesa, CA$92,880–$160,218 / yearRequires at least one of the following certifications: RHIA certification as a Registered Health Information Administrator, RHIT certification as a Registered Health Information Technician, CCS as a Cert Coding Specialist, CIC as a Certified Inpatient Coder, or Certified Clinical Documentation Specialist (CCDS). Broad knowledge of medical claims billing/payment systems provider billing guidelines, payer reimbursement policies, billing validation criteria and coding terminology preferred.
Commercial Insurance Specialist AHMC HealthcareCommercial Insurance SpecialistRiverside, CaliforniaOverview: Performs various clerical billing and follow up functions, but not limited to items listed in the Performance Criteria. Reviews payor contracts to ensure correct contractual adjustments are posted as per individual payor agreement.
Project Accountant Ledgent Finance & AccountingProject AccountantJurupa Valley, California$29–$31 / hourAre you a construction‑industry Project Accountant who thrives in fast‑paced project environments and knows job costing, billing, and reconciliations inside and out? This role sits at the heart of project execution-supporting financial accuracy from project setup through final billing.